Fall 2022 Business Mastery Course prerequisite- Have been in business for 3 plus year or have graduated from The South Valley Chamber 's Key Bank Accelerator program. Name Block - Full Title First Name Last Name Suffix Business Address Block - US Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code Phone Number Industry and DUNS# To look up your number go to: https://www.dnb.com/duns-number/lookup.html Email Address Website URL Industry Ethnicity Select option... Caucasian Black American Indian or Alaskan Native Asian Native Hawaiian Or Other Pacific Islander Hispanic/Latino Other or prefer not to answer How many years have you been in business? Are you 100% owner Yes No Number of full-time employees Number of part-time employees Estimated annual revenue from last calendar year Please provide a brief description of you business Where do you hope to see your business in 3 years? How many jobs do you hope to create/retain over the next year? How many of those jobs are held by low/moderate income persons? * Are you willing to report on the number of jobs created/retained over the next year to the South Valley Chamber? Select option... Yes No Referred by: Select option... Family Friend Business Associate Advertisement Other
